GI and Neuro Questions and
Answers for Final Exam
Which patient response requires a focused GI assessment?
A. "I take ibuprofen 600 mg three times a day for arthritis pain."
B. "I experience occasional constipation."
C. "I have had dentures for 3 years."
D. "Spicy foods upset my stomach." Correct answer- A
After abdominal surgery, what is the most reliable assessment finding that
suggests return of peristaltic movement?
A. Presence of normal bowel sounds
B. Patient report of passing flatus
C. Patient report of hunger
D. Absence of nausea Correct answer- B
When administering a new medication to an older patient, the nurse
understands that:
A. The dose may need to be increased to greater-than-normal levels.
B. Close monitoring is needed because toxic levels may develop.
C. The dose may need to be decreased to lower-than-normal levels.
D. Nausea and vomiting may develop rapidly and are Correct answer- B
The patient with a long history of osteoarthritis is at risk for developing
gastroesophageal reflux disease (GERD) if he or she:
A. Weighs 220 pounds
B. Frequently takes NSAIDs for pain
C. Consumes foods with calcium supplementation
D. Has limited physical mobility Correct answer- B
A priority nursing intervention in the care of a patient with a hiatal hernia is:
A. Providing nutrition education
B. Promoting regular exercise
C. Providing medication education
D. Instructing the patient on signs and symptoms of intestinal strangulation
Correct answer- A
Which assessment variable requires immediate intervention post
esophagectomy?
A. Blood pressure of 170/88
B. Respiratory rate of 28
C. Temperature of 38.1° C
, D. Pain assessment of 6 on a scale of 0-10 Correct answer- B
Which diagnostic results support the diagnosis of peptic ulcer disease?
(Select all that apply.)
A. Low hemoglobin
B. Low WBC level
C. Low hematocrit
D. Positive for H. Pylori bacteria
E. Low potassium of 3.4 mEq/L. Correct answer- A, C, D
Which statement made by the patient would cause the nurse to suspect that
she may have Zollinger-Ellison syndrome (ZES)?
A. "I feel much better after taking Zantac (ranitidine)."
B. "I can't lie flat for awhile after I've eaten."
C. "The stomach pain hurts, but the foul-smelling diarrhea is worse."
D. "Occasionally I have pain in my left lower Correct answer- C
Which teaching does the nurse provide for behaviors that reduce symptoms
of peptic ulcers? (Select all that apply.)
A. Sit upright 30 to 60 minutes after meals.
B. Spices should be added to food to enhance flavor.
C. A vagotomy will be needed in the future.
D. Extreme vomiting should be reported to your physician.
E. H. pylori can be a concern in patients with peptic ulcers.
F. The goal of initial intervention is to control symptoms and prevent further
complications. Correct answer- A, D, E, F
A 64-year-old patient with a history of arthritis and hypertension is admitted
with progressive epigastric cramping, dyspepsia, nausea, and dark sticky
stools for 2 days. Which order should the nurse question?
A. IV fluids, normal saline at 125 ml/hr
B. Guaiac stool sample × 2
C. Naproxen (Naprosyn) 500 mg twice daily
D. Stool sample for bacterial testing Correct answer- C
What is the nursing priority in the management of a patient with an active
upper GI bleed?
A. Obtain vital signs.
B. Apply oxygen by nasal cannula.
C. Type and crossmatch the patient for blood products.
D. Notify the physician. Correct answer- A
At the oncologist's office, the patient tells the nurse that he has been
experiencing vomiting and diarrhea. He states that he is tired all the time
and has lost about 15 pounds over the past month.
What diagnostic test would take priority at this time?
Answers for Final Exam
Which patient response requires a focused GI assessment?
A. "I take ibuprofen 600 mg three times a day for arthritis pain."
B. "I experience occasional constipation."
C. "I have had dentures for 3 years."
D. "Spicy foods upset my stomach." Correct answer- A
After abdominal surgery, what is the most reliable assessment finding that
suggests return of peristaltic movement?
A. Presence of normal bowel sounds
B. Patient report of passing flatus
C. Patient report of hunger
D. Absence of nausea Correct answer- B
When administering a new medication to an older patient, the nurse
understands that:
A. The dose may need to be increased to greater-than-normal levels.
B. Close monitoring is needed because toxic levels may develop.
C. The dose may need to be decreased to lower-than-normal levels.
D. Nausea and vomiting may develop rapidly and are Correct answer- B
The patient with a long history of osteoarthritis is at risk for developing
gastroesophageal reflux disease (GERD) if he or she:
A. Weighs 220 pounds
B. Frequently takes NSAIDs for pain
C. Consumes foods with calcium supplementation
D. Has limited physical mobility Correct answer- B
A priority nursing intervention in the care of a patient with a hiatal hernia is:
A. Providing nutrition education
B. Promoting regular exercise
C. Providing medication education
D. Instructing the patient on signs and symptoms of intestinal strangulation
Correct answer- A
Which assessment variable requires immediate intervention post
esophagectomy?
A. Blood pressure of 170/88
B. Respiratory rate of 28
C. Temperature of 38.1° C
, D. Pain assessment of 6 on a scale of 0-10 Correct answer- B
Which diagnostic results support the diagnosis of peptic ulcer disease?
(Select all that apply.)
A. Low hemoglobin
B. Low WBC level
C. Low hematocrit
D. Positive for H. Pylori bacteria
E. Low potassium of 3.4 mEq/L. Correct answer- A, C, D
Which statement made by the patient would cause the nurse to suspect that
she may have Zollinger-Ellison syndrome (ZES)?
A. "I feel much better after taking Zantac (ranitidine)."
B. "I can't lie flat for awhile after I've eaten."
C. "The stomach pain hurts, but the foul-smelling diarrhea is worse."
D. "Occasionally I have pain in my left lower Correct answer- C
Which teaching does the nurse provide for behaviors that reduce symptoms
of peptic ulcers? (Select all that apply.)
A. Sit upright 30 to 60 minutes after meals.
B. Spices should be added to food to enhance flavor.
C. A vagotomy will be needed in the future.
D. Extreme vomiting should be reported to your physician.
E. H. pylori can be a concern in patients with peptic ulcers.
F. The goal of initial intervention is to control symptoms and prevent further
complications. Correct answer- A, D, E, F
A 64-year-old patient with a history of arthritis and hypertension is admitted
with progressive epigastric cramping, dyspepsia, nausea, and dark sticky
stools for 2 days. Which order should the nurse question?
A. IV fluids, normal saline at 125 ml/hr
B. Guaiac stool sample × 2
C. Naproxen (Naprosyn) 500 mg twice daily
D. Stool sample for bacterial testing Correct answer- C
What is the nursing priority in the management of a patient with an active
upper GI bleed?
A. Obtain vital signs.
B. Apply oxygen by nasal cannula.
C. Type and crossmatch the patient for blood products.
D. Notify the physician. Correct answer- A
At the oncologist's office, the patient tells the nurse that he has been
experiencing vomiting and diarrhea. He states that he is tired all the time
and has lost about 15 pounds over the past month.
What diagnostic test would take priority at this time?
